Active NPI
Rebecca Rakow-Penner
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A128755
- Practice address
- 200 W Arbor Dr # 8756
San Diego, CA 92103-1911 - Phone
- (650) 269-7132
- NPI assigned
- Apr 12, 2011
- Last updated
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A128755 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr # 8756
San Diego, CA 92103-1911
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6748
Other names 1
- Dr. Rebecca Rakow Penner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Stanford University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Garden View Rd
Suite 210
Encinitas, CA 92024-2475
Phone (800) 926-8273
1415 Ross Ave
El Centro, CA 92243-4306
Phone (800) 926-8273
16950 Via Tazon
San Diego, CA 92127-1607
Phone (800) 926-8273
200 W Arbor Dr
San Diego, CA 92103-1911
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000
447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
9400 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273
9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273
9434 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273
9452 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128755 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California Ucsd Department of Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
9400 Campus Point Dr
La Jolla, CA 92093
Phone (800) 926-8783
9452 Medical Center Dr
La Jolla, CA 92037
Phone (858) 246-2016
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
200 W Arbor Dr
#8756
San Diego, CA 92103
Phone (619) 543-3534
330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250
408 Dickinson St
San Diego, CA 92103
Phone (619) 471-0513
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
8929 University Center Ln
San Diego, CA 92122
Phone (855) 543-0333
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba UCSD Department of Radiology
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1225213655
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1558651497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "858-249-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR # 8756",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031911",
"telephone_number": "650-269-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKOW-PENNER",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A128755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "PENNER",
"middle_name": "RAKOW",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.